Initiating Person-Centered care practices in long-term care facilities

Initiating Person-Centered care practices in long-term care facilities
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DOI:
10.3928/00989134-20071101-08
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发表时间:
2007-11-01
影响因子:
1.3
通讯作者:
Talerico, Karen Amann
Talerico, Karen Amann
中科院分区:
医学4区
文献类型:
--
作者:
Crandall, Lynda G.;White, Diana L.;Talerico, Karen Amann

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Person-centered care is a key concept guiding efforts to improve long-term care. Elements of person-centered care include personhood, knowing the person, maximizing choice and autonomy, comfort, nurturing relationships, and a supportive physical and organizational environment. The Oregon Health & Science University Hartford Center of Geriatric Nursing Excellence and the state agency that oversees health care for older adults worked in partnership with 9 long-term care facilities. Each developed and implemented person-centered care practices, including those focused on bathing, dining, or gardening. This article describes the processes used to develop and support these practices. Three exemplary facilities made significant practice changes, 4 made important but more moderate changes, and 2 made minimal progress. These facilities differed in terms of existing culture, management practices, staff involvement, and attention to sustainability.